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Living with Microcornea-posterior megalolenticonus-persistent fetal vasculature-coloboma syndrome

A rare eye condition present from birth that affects the cornea, lens, and back of the eye.

Understanding Microcornea-posterior megalolenticonus-persistent fetal vasculature-coloboma syndrome

Microcornea-posterior megalolenticonus-persistent fetal vasculature-coloboma syndrome is a rare eye condition that affects how the eyes develop before birth.

In this condition, both eyes have small corneas (microcornea) and a lens that bulges toward the back (posterior megalolenticonus). Blood vessels from before birth remain in the eye (persistent fetal vasculature). There is also a gap in the tissue at the back of the eye (chorioretinal coloboma). Signs are seen in the newborn period or infancy.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Small corneas (microcornea)
  • Gap in the tissue at the back of the eye (chorioretinal coloboma)
  • Gap in the colored part of the eye (iris coloboma)
  • Bulging of the lens toward the back (posterior lenticonus)
  • Breakdown of light-sensing cells in the retina
  • Leftover fetal blood vessels in the eye

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Eye disease specialists (ophthalmologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Pediatric Retinal Research Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which eye specialist should follow my child's eyes?
How much vision might be affected, and how can it be supported?
Is genetic testing available to look for a cause?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD doesn't describe a cause for this condition yet.

Also known as: microcornea, posterior megalolenticonus, persistent fetal vasculature, coloboma syndrome; mppc (microcornea, posterior megalolenticonus, persistent fetal vasculature, coloboma) syndrome; mppc syndrome

Patient organizations

Source: NIH GARD · Microcornea-posterior megalolenticonus-persistent fetal vasculature-coloboma syndromeGARD ID 10938 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Microcornea-posterior megalolenticonus-persistent fetal vasculature-coloboma syndrome.

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